| Plan Name | NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM TAX DEFERRED ANNUITY SAVINGS PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | MCLAREN NORTHERN MICHIGAN |
| Employer identification number (EIN): | 382146751 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about MCLAREN NORTHERN MICHIGAN
| Jurisdiction of Incorporation: | Michigan Secretary of State |
| Incorporation Date: | 0000-00-00 |
| Company Identification Number: | 828000 |
| Legal Registered Office Address: |
416 CONNABLE AVE PETOSKEY United States of America (USA) 49770 |
More information about MCLAREN NORTHERN MICHIGAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2013-01-01 | DONNA AHO | |||
| 002 | 2012-01-01 | CHRISTINE VANSLEMBROUCK | EUGENE KAMINSKI | 2014-07-21 |
| Measure | Date | Value |
|---|---|---|
| 2013 : NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM TAX DEFERRED ANNUITY SAVINGS PLAN 2013 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $0 |
| Total transfer of assets from this plan | 2013-12-31 | $40,058,928 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $0 |
| Total income from all sources (including contributions) | 2013-12-31 | $15,325,818 |
| Total loss/gain on sale of assets | 2013-12-31 | $0 |
| Total of all expenses incurred | 2013-12-31 | $5,663,666 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $5,600,889 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $9,364,551 |
| Value of total assets at end of year | 2013-12-31 | $0 |
| Value of total assets at beginning of year | 2013-12-31 | $30,396,776 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $62,777 |
| Total interest from all sources | 2013-12-31 | $116,256 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $1,054,857 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-12-31 | $1,054,857 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $3,735,425 |
| Participant contributions at end of year | 2013-12-31 | $0 |
| Participant contributions at beginning of year | 2013-12-31 | $353,976 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2013-12-31 | $599,837 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $9,662,152 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $30,396,776 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $26,578,979 |
| Interest on participant loans | 2013-12-31 | $13,316 |
| Interest earned on other investments | 2013-12-31 | $102,940 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2013-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2013-12-31 | $3,463,821 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-12-31 | $4,790,154 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $5,029,289 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $5,600,889 |
| Contract administrator fees | 2013-12-31 | $62,777 |
| Did the plan have assets held for investment | 2013-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Disclaimer |
| Accountancy firm name | 2013-12-31 | PLANTE & MORAN PLLC |
| Accountancy firm EIN | 2013-12-31 | 381357951 |
| 2012 : NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM TAX DEFERRED ANNUITY SAVINGS PLAN 2012 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $0 |
| Total transfer of assets to this plan | 2012-12-31 | $1,164,339 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $0 |
| Total income from all sources (including contributions) | 2012-12-31 | $12,120,269 |
| Total loss/gain on sale of assets | 2012-12-31 | $0 |
| Total of all expenses incurred | 2012-12-31 | $1,375,899 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $1,332,978 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $9,217,429 |
| Value of total assets at end of year | 2012-12-31 | $30,396,776 |
| Value of total assets at beginning of year | 2012-12-31 | $18,488,067 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $42,921 |
| Total interest from all sources | 2012-12-31 | $105,397 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $557,292 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-12-31 | $557,292 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $4,636,035 |
| Participant contributions at end of year | 2012-12-31 | $353,976 |
| Participant contributions at beginning of year | 2012-12-31 | $266,478 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2012-12-31 | $747,893 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $10,744,370 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $30,396,776 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $18,488,067 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $26,578,979 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $15,368,580 |
| Interest on participant loans | 2012-12-31 | $11,904 |
| Interest earned on other investments | 2012-12-31 | $93,493 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2012-12-31 | $3,463,821 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2012-12-31 | $2,853,009 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-12-31 | $2,240,151 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $3,833,501 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $1,332,978 |
| Contract administrator fees | 2012-12-31 | $42,921 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Disclaimer |
| Accountancy firm name | 2012-12-31 | PLANTE & MORAN PLLC |
| Accountancy firm EIN | 2012-12-31 | 381357951 |